tag:blogger.com,1999:blog-2760353953251845523.post8467362689055311899..comments2015-03-31T16:07:02.473-04:00Comments on Buckeye Surgeon: Peterson's DefectJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-2760353953251845523.post-22300289780532655832012-01-24T01:35:59.794-05:002012-01-24T01:35:59.794-05:00has anyone had a complication from seam guard I ha...has anyone had a complication from seam guard I have had 26 centermeters removed and more to go.Been a very sick lady. Hope to get well soon.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-63268020718583963892011-09-26T04:45:00.731-04:002011-09-26T04:45:00.731-04:00Hi Dr. Buckeye :)
I&#39;m a post-RNY gastric bypas...Hi Dr. Buckeye :)<br />I&#39;m a post-RNY gastric bypass pt, 4 years out from original surgery, 8 surgeries after the original, including 2 separate reversal surgeries (all lap except the last one was an open abdominal surgery to return my digestive anatomy as normal as possible with a partial gastrectomy). I&#39;ve had several of these &quot;internal hernias&quot; and obstructions along the way, and they were only found with surgery. Typically my obstructive series is normal (there have been times where they saw some dilated loops of small bowel), CT&#39;s are always normal, abdominal pain is always left upper quadrant. They thought that the reversal would cure this problem, I don&#39;t think it has. I still have delayed gastric emptying, abdominal pain, and nausea has just become a way of life. Your post caught my attention when I did a search. I have been coming to Cleveland Clinic from Chicago for about a year, they are fabulous and are really trying to help me, but here is my question: Have you heard of cases where even post reversal pts continue to have these internal hernias/obstructions that are not always caught with imaging? As an additional note, I&#39;m the adhesion queen on top of it, so I&#39;m not sure if that factors in. I also work in an ER as a critical care tech, so it really stinks to be on this side of things for so long. I know this sounds desperate, but any chance I can make an appt for an opinion the next time I&#39;m in Cleveland? I am desperate by the way. Thanks for listening. Jules in Chicago julesmagnini@gmail.comemsgirl1972http://www.blogger.com/profile/10626233234177891683noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-33144254386118459862011-09-22T14:20:57.219-04:002011-09-22T14:20:57.219-04:00Thanks for this post, Doc. It helped a million in ...Thanks for this post, Doc. It helped a million in understanding what goes on with a Peterson defect. I&#39;ve been transcribing last 20 years, hadn&#39;t encountered one of these before, so I like to do a bit of research so I can get an idea of what goes on, rather than just being part of the machine. Great description.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-88190802683891231502010-01-28T20:40:45.573-05:002010-01-28T20:40:45.573-05:00just did a devastating complication that began as ...just did a devastating complication that began as a SB hernia thru a Peterson&#39;s Defect. you want a great OR photograph let me know - GlennGlenn Levinehttp://drglevineatsbcglobal.netnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-7525703754764679452009-12-17T15:19:20.445-05:002009-12-17T15:19:20.445-05:00Very interesting, though I&#39;m a junior resident...Very interesting, though I&#39;m a junior resident and not yet familiar with gastric bypass surgeries and their complications but I enjoyed your post. looking for more .. thank you.<br /><br />Ahmed, <br />R-1 GS resident <br />Saudi Arabiaa7mdkhttp://www.blogger.com/profile/18315205525100796705noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-88933191004206698742009-12-14T12:23:10.278-05:002009-12-14T12:23:10.278-05:00Peterson&#39;s hernia is a specific entity/complic...Peterson&#39;s hernia is a specific entity/complication of roux n Y gastric bypass. The provenance of the eponym may very well be what you describe. But there&#39;s plenty of literature on RYGB/Peterson hernias...<br /><br />http://www.ncbi.nlm.nih.gov/pubmed/18004631?ordinalpos=1&amp;itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_SingleItemSupl.Pubmed_Discovery_RA&amp;linkpos=3&amp;log$=relatedarticles&amp;logdbfrom=pubmed<br /><br />http://www.ncbi.nlm.nih.gov/pubmed/16925328?ordinalpos=1&amp;itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_SingleItemSupl.Pubmed_Discovery_RA&amp;linkpos=2&amp;log$=relatedarticles&amp;logdbfrom=pubmedBuckeye Surgeonhttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-69591333681890066222009-12-14T11:38:52.094-05:002009-12-14T11:38:52.094-05:00I am not certain that you are using the eponym Pet...I am not certain that you are using the eponym Peterson&#39;s defect correctly. It actually is Petersen&#39;s defect, named after Walther Petersen, a German surgeon from the 20th century. He originally described it in reference to loop gastrojejunostomy, where a loop of bowel herniates behind the anastamosis, superior to the transverse colon. An interesting review article was written in JACS, 207(1):121-124.<br /><br />Glad to see you back writing, your posts are an inspiration to this young surgeon in training.Barryhttp://www.blogger.com/profile/13269142531816787961noreply@blogger.com